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HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED-6 G Date:13 13—/S SCANNED Permit Number: BY ® St. Lucie County U Building Permit Application 150vf Planning and Development Services -- - Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Renovation Address: 'A� Legal Description:D�C�� oce rY A�_-0:20doyninig A "M ot-1L Property Tax ID N: Lk6W'60a-00 CS -cW- 3 Lot No. Site Plan Name: _m4n Block No. Project Name:!' -rco1 Setbacks Front Back: Right Side: Left Side: uDETAILED.DESCRIPTION;OF WORK: r U /C,Yiev r c. ,Lr a-- • - -- - - - T/e, a. CONSTRUCTION INFORMATION' Aiditional work to e ertorme un ert ispermi -c ec a appy: eH❑C GGTank ❑Gas Piping Shutters ❑Windows/Doors tric L Plumbing ❑Sprinklers Generator 1:1 Roof Total Sq. Ft of Construction: Cost of Construction: $ ;z'9/" S Ft. of First Floor: _ Utilities:0Sewer OSeptic Building Height: OWNER/LESSEE`. CONTRACTOR.-,. ame ' Name: Justin C. Thiery Company: Island Kitchen and Bath G� e ddr ss' l rLtC� J�7C0� �� Address: 2340 SE Charleston Dr. ity:f Zl1�GCJ4 Stated ip Cod 131,4 CJ1 Fax: hone NoAo L4L� 4&- USSO City; Port St Lucie State: FL Zip Code: 34952 Fax: Phone No. (772) 678-8219 -Mail: E-Mail: ithieryikb@gmail.com II in fee si pie Title Holder on next page( if different m the Owner listed above) -- - -- State or County License: CBC1259508 -------"----..:_..A If value of construction is 5250D or more, a t¢c.Urcuw rvuace'! ........ ..__,,,_^• • •- _.. __. �V`u - (�Y,n, -SUPPLEMENTAL CONSTRUCT ION'LIEN,LA* NFORIVIATION`.` , DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _Not Applicable Name: Name: sure Tecinsurance company Address: Address: 133o Post oak Blvd City: Houston City: Zip: Phone: Zip:77056 - Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your. deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing -work or recording our Notice of Commencement. signature of Owner/ Les ee/Agent S' na a cif ractor/License Holder STATE OF FLORIDA COUNTY OF S57. r �:2 STATE OF FLORIDA COUNTY OF 5`T JCr The forgoing instru ent was acknowledged before me this�dayof 20lrby The forgoing instru ent was acknowledged befo a me this �day of 20 JL by 1 (Name of person acknowled i ) (Name of person acknowlecli g )g) t(sigatuo Notary Public- State of Flori a ( gnat a Kota u ate of Florida) PersonC/Known R Produced Identification of Identification Produced nown ��R Produced IdentificationType ntification Produced Commission No % ,.•�" (SetpRGARET M. LEONAR ,';gin„ ;� • ° Notary Public - Stale of Flo • �' •= M Comm. Expires Jul 17. • :p Commission Revised 07/ 15/2014 `" %°t I„"' Bonded Through National Nolary Cc mission No.45S%% ida ; .8�e,,, ARGARET M. LEONARD 818 ;z°, =: Notary Public - Slate of Florida • _ y omm. xpves u Assn. Commission N BE 77881 Bonded Through National Notary Assn. REVIEWS CFRONT OUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS RE EW VEGETATION REVIEW A TU 5 REVIEW LE MANGROVE DATE COMPLETE INITIALS 5„ a ;'I i:„ i ; planning & Development Services _ Building & Code Regulation Division 6 2300 Virginia Ave Fort Pierce, Fl. 34982 772-462-2172 FOX772-462.6443 PERMIT #: bog- 0 BUILDER/CONTRACTOR: ► Y1 � PEST CONTROL CONTRACTOR: PEST CONTROL LICENSE *: -;S,' We, the undersigned, hereby certify that we have pretreated the above described construction for subterranean termites in accordance with the standards of the National Pest Control Association. Square feet if area treated: F�10 e sir Chemicals used: IAA 5Q�1 �✓� Percentage of solution: (� ` 6X Date of Treatment: 7 '-_Footing 1t Treatment !Re -Treat ,_Driveway .1' Treatment R -T _reat �Othe � i� V11R 1a Treatment _Re -Treat Total gallons used: Z� Time of Treatment: Z ' a 0 _Slab _la Treatment —Re-Treat ,Pools lrt Treatment _Re -Treat Perimeter for Final Inspection Signature of Exterminator Note: There must be a Completed form for each required treatment orie-treatment and this form must be on the job site to be p/dred up by the Inspector at time of each inspection or the scheduled losperh'on will fall and a•re-inspection fee charger.. F8CID4.2.6 Certificate of Protective Treatmentforprevention of termites. A weather re519t3ntJ0b5ite posting board Shall be provided to receive dupilcate Treatment Certificates as each required protedve treatment is me T/n� Treatment providing a mpyfor the person the permit is issued to and another copy for the building permit tity of applicator, time and date of the treatment, site !oration, area Certificateshali provide the product used, Iden treated, chemical used, perCentconcentrationandnumber ofgalIons used, to establish a verifiable record of r method for termite prevention is used, final exterior tnatmentshall protective treatment. If the soil diemiral harde be completed prlorto final building approval. St Lucie County requires for the final inspection for CO, a permanent Sticker to be placed on the electracal panel box cover, fisting all the treatments and dates of applications. wh 6,�-0Z ST. LUCIE C UNTY BUILI)t G DIVISION REVIEWED FOR COl!LtrCE REVIEMWI) BY �.�-i_ S4w, LE,,, - PLANS AND PERMIT -MUST BE OR NO INSPECTION WILL BE 1 THESE PLANS AND ALL PROPOSED WORK ARE SUBJECT TO ANY CORRECTIONS REQUIRED BY FIELD INSPECTORS THAT MAY BE NECESSARY IN ORDER TO _ _ _; _C.ONiP1rY..WITH ALL APPLIC, BLE CODES. CONCEALED FASTENERS OR ATTACHMENTS i5,z4, cpETHE �1f1'0IA AAA.. h6A t'avo.1 ca l�eoyie- or�r,l -Frame }r�. L`ir/(/) /' // J / lfllii ink :nya , UG _ /' �'°UC. i'�f_�'1✓�X.-i i'-`r ,r- G//�/,(/YzG� .i �Fc([ct C _%'. __�=odic�'-I�1 //!S/-G'r! _---- jLj- -/ / —' �kG112 S/✓j( l GnGE: fGf/a n'/ Kh/€vf� 5 �l/oC. _�//l1 S`l !E?/LJ_�%!�Y/%Gq°G�PrI_-- �itsl��;&JCPGn'd54/_, !/7Sfi_6L1GY _/1f�t2eJ -- - 'L�'s�n Gtr�l ,��G•�� "'//-'ir42/ �f W°� c w4di l/Jego4L GS';uL�irta✓n? V tt StsJ%��l2es Q �le�s, a� 1. 1�IucafG e%c�i;c�� 0� dJrcc2er Mrs Via'. r 4+ead atiA_/{2 %(a_/6`-f. cS/?c�GclPl' G✓mob%/I6 / /4!,5- on 7 Ater 7 14 IL,. �ghocdl� �;/✓ e14d an lug t,J,A� �/n p2i Cade. A'!L !rec/n�b�n5«esso�;es(S'^k,�c /e��c!/✓e,, sSlbx� agc( �� AggrIJ POV --------- •l� I%T y%j71 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): ER13014993 GWP Electric have agreed to be the (Company Name/Individual Name) Electrical Sub -contractor for island Kitchen and Bath (Type of Trade) (Primary For the project located at (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (For,: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNA Business Name: Address: City/State/Zip: ARE REQUIRED 282 Kestor Drive Port St., Lucie, FL 34957 Phone: --172-485-2001 r) ejzz;�� 1 E email: gwpelectric@att.net Guerry Parfait PRINT NAME STATE OF FLORIDA, COUNTY OF St. Lucie q/.2 D E THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF BY Guerry Parfait WHO IS PERSONALLY KNOWN X PRODUCED OF NOTARY PUBLIC 6/2014 AS IDENTIFICATION. OF 20 OR HAS (STAMP) MARGARET M. LEONARD Notary Public - State of Florida •5��,i;`{,' _ My Comm Fxpires Jul 17, 2015 e'�; Commission # EE 77881 ��'%°(� °• Bonded Through National Notary Assn J PERMIT# / SCE2-0z),, ISSUE DATE I Gam+ PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): Pipe Connection CFC033824 have agreed to be the (Company Name/Individual Name) Plumbing Sub -contractor for Island Kitchen and Bath (Type of Trade) (Primary Contractor) For the project located at9q 40 CJ O (Project Street Address or It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDY (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED Business Name: Address: City/State/Zip: ARE 2501 SE Baer St Port St. Lucie, FL 34953 Phone: (772) 260-5958 email: oe' flonsc@a'""1=m Lee Marion aqtU-U RE PRINT NAME STATE OF FLORIDA, COUNTY OF St. Lucie DANKS � THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS I-) DAY O , 2015 By Lee Marion WHO IS PERSONALL OWN X OR HAS PRODUCED AS FICAT (STAMP) SI A URE OTARY PUBLIC PRINT M NO ARY PUBLIC MpRGARET M. LEONARD OS/06/2014 HY'a� Expires Ju stale of F� ZO�5 SLCP : sp`. ° .. Nola yPublic - _ My Comm. l 17, Commission pEE 77881 �' a �;,;:�•'�` Bonded Thiaugn National Notary Assn. PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division Island Kitchen and Bath (Company/Individual Name) BUILDING PERMIT SUB -CONTRACTOR SUMMARY will be using the following sub -contractors for the project located at (4 S V �— C50 —00 B C (Street address or Property Tax ID It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical GWP Electric ER13014993 Plumbing Pipe Connection CFC033824 HVAC/ Mechanical Roofing Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07/292014 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE k 410141B OR BOOK 'r PAGE 2423, Recorded 08/13/2015 at .29 PM I NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida statures the following information is provided in the Notice ofcommencermnt. qq�� 1, DESCRIPTION OF PROPERTY (legal description and sheet address) TAX FOLIO NUMBER450D s'( Dzi 1�]_{ `a' 2. GENERAL DESCRIPTION b. Address PING i 0r: r '} 11' It 01 fle Ae,nyA't n JYtt( r c. interest in pmpcnyCtd_ - .{, d. Name and address of fee simple titleholder (ifother than owner) a. CONTRACTOR'S NAME, ADDRESS AND PRONE NUMBER: a'ssaThi�IuOSE mMs.m ..w Slww,naseszlmlamasle 5.SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: smrw m.,rrwca tssovwoa are. •°T'°"",st°•°°° 6.LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7. Penns within the Stare of Florida designated by Owner upon whom notices or other documents may be steed as provided by Settion 713.13 (p(a) 7., Florida Smarter: NMIE, ADDRESS AND PHONE NUh1BER: i 8. in addition to himself or herself, Owner designates the fallowing to receive a copy of the Ltenor's Notice as provided in Section 713.13 (I)(b), Florida Statutes: NAME, ADDR&S9 AND PHONE NUMBER: 9. ExpimGon date of notice of commencement (the expiration date is 1 year from the data of recording unless a different data is specified) ,_,20_, signature of Owner or Print Name and Provide Sigrustory's TitidOffice Owner's Authorized Offlicer/Director/Pt riner/Maneger Smte of Florida County of St. Udo The fore_g`of1pghhnt/irtim/� tra acknowledged before me this r:t day of ,20 9y `-"�1[:,1A.1' l�.l _ 're Owner (Name ofperson) (Type of authority...e.g`Owner. officer, trustee, avomey in fact) For Owner (Name of pray on behalf of whom instrument was easy Personally owa-,�erpredoecdtihe following type of ID:& of Nomry Public) I (Si at of�Pd6lic) •-:, '! Is of paryry,1 declarethat 1 have read foregoing and that the Facts in it are (me to doe best of my knowledge and 92525, Florida Statutes). Signatare(s) of Owna(s) or Ow/ner(s)' Authorized ORcer(/Directclor/`Pertn�ef/Mmanicer who signed above: By u..a3aasiasrrtma^91 STATE OF FLORIDA . ST. LUCIE COUNTY THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE a r 0 INAL. OSE E.S IT ,CL 9 Dep tY Clerk Dale: Us 3 2015